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Pregnancy Blood Screening For Birth Defects

Colorado rates for HCPCS 81512

Measures five substances in a pregnant woman's blood and combines those results with details such as her age and how far along the pregnancy is. The report gives the chance that the baby has a chromosome difference or an opening in the spine or skull. It is a risk estimate rather than a diagnosis.

Rates data updated July 2026.

How much does Pregnancy Blood Screening For Birth Defects cost?

$66.07

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $186 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$51.29 to $58.88
FacilityA hospital or hospital-owned outpatient department$186$93.33 to $295

How much rates vary

Facilitymedian $186 · 10th to 90th $54 to $355Professionalmedian $52 · 10th to 90th $30 to $66
$50$100$200$500facility $186professional $52

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$151.36
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$208.93
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$29.51
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$45.71
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$37.15
Typical High
$100.00
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$67.61
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$1,000.00
Typical High
$1,000.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$144.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$66.07

Where Colorado sits

The same service costs 6.6 times more in Vermont than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 33rd of 51

$66.07

VT $347DC $52.48

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.